Individual provider · Type 1 NPI

Macy Shupe, BA

Mental Health Counselor · Mattoon, IL

NPI number 1609380310 Active

Practice location

750 Broadway Ave E
Mattoon, IL 61938-4610

Fax (217) 238-5767

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609380310

Macy Shupe, BA's National Provider Identifier is 1609380310, issued on Nov 17, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mattoon, IL. The record was last updated on Nov 17, 2017.